Using Kinematic Analysis to Evaluate Constraint-Induced Movement Therapy in Chronic Stroke Patients

Caimmi, Marco; Carda, Stefano; Giovanzana, Chiara; Maini, Eliseo Stefano; Sabatini, A.M.; Smania, Nicola; Molteni, Franco

doi:10.1177/1545968307302923

Cited by 153 publications

(162 citation statements)

References 39 publications

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“…The responsiveness of the WMFT-FAS was larger than that of the WMFT-TIME in this study. This result is contrary to the findings of Caimmi et al, 57 who concluded that responsiveness measured by the effect size d was moderate for the WMFT-TIME and trivial for the WMFT-FAS. Although different indices and different treatment protocols were used in these 2 studies, the larger variance of the WMFT-TIME among our patients may have contributed to our results.…”

Section: Discussioncontrasting

confidence: 99%

“…In addition, because functional imaging and kinematic analysis have been suggested to be surrogate outcome measures for evaluating the efficacy of CIT and other rehabilitation techniques, 57,58 the correlations between changes in the clinical measures of motor function and changes in functional imaging and kinematic performance need to be studied in future investigations.…”

Section: Discussionmentioning

confidence: 99%

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Responsiveness and Validity of Three Outcome Measures of Motor Function After Stroke Rehabilitation

Hsieh

Lin

et al. 2009

Stroke

192

147

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Background and Purpose-This study investigated and compared the responsiveness and validity of the Fugl-Meyer Assessment (FMA), the Action Research Arm Test (ARAT), and the Wolf Motor Function Test (WMFT) for patients after stroke rehabilitation. Methods-A total of 57 patients with stroke received 1 of 3 rehabilitation treatments for 3 weeks. At pretreatment and posttreatment, the 3 outcome measures, as well as the Functional Independence Measure (FIM) as the external criterion, were administered. The standardized response mean (SRM) and the Wilcoxon signed rank test were used to examine the responsiveness. Construct validity and predictive validity were examined by the Spearman correlation coefficient (). Results-The responsiveness of the FMA, ARAT, and WMFT functional ability scores was large (SRMϭ0.95-1.42), whereas the WMFT performance time score was small (SRMϭ0.38). The responsiveness of the FMA was significantly larger than those of the ARAT and the WMFT-TIME, but not the WMFT functional ability scores. With respect to construct validity, correlations between the FMA and other measures were relatively high (ϭ0.42-0.76). The FMA and the WMFT performance time scores at pretreatment had moderate predictive validity with the FIM scores at posttreatment (ϭ0.42-0.47). In addition, the ARAT and the WMFT functional ability scores revealed a low predictive validity with the FIM (ϭ0.17-0.26). Conclusions-The

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Responsiveness and Validity of Three Outcome Measures of Motor Function After Stroke Rehabilitation

Hsieh

Lin

et al. 2009

Stroke

192

147

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“…the time derivative of acceleration, has been used as an empirical measure of movement smoothness (Casadio et al, 2010). In this study, NJ was tested as a measure of the quality of selective motor control and was used to evaluate the qualitative features of the multi-joint upper limb movements, considering its inverse correlation with the smoothness of hand movement (Flash and Hogan, 1985;Caimmi et al, 2008). Our data bring out additional evidence regarding the recovery process after neurological damage, which is reflected in the execution of progressively smoother movements as confirmed by a significant reduction in NJ (Krebs et al, 1998).…”

Section: Discussionmentioning

confidence: 99%

Arm weight support training improves functional motor outcome and movement smoothness after stroke

Bartolo

Nunzio

Foti

et al. 2014

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SummaryThe aim of this study was to compare the effectiveness in acute stroke patients of a rehabilitation program performed with or without an arm weight support device. Twenty-eight acute, first-ever unilateral stroke patients were enrolled in a single-blind, randomized controlled trial. Clinical evaluation included Fugl-Mayer Assessment, Functional Independence Measure and kinematic analysis [maximum and mean hand velocity, maximum range of motion (Max RoM), normalized jerk (NJ)]. Patients received 12 daily 30-minute sessions (6/week) of additional upper limb therapy performed using an arm weight support device (study group) or additional traditional physiotherapy (control group). The patients were evaluated on admission and at the end of the rehabilitation intervention. The two groups were clinically comparable on admission (p>0.05). Both groups showed significant improvements in clinical scale scores and in Max RoM in flexion-extension, while only the study group showed improvements in NJ and in Max RoM in adductionabduction.Arm weight support training improves functional motor outcome and movement smoothness after stroke Rehabilitation training using an arm weight support device appears to be a useful method to supplement conventional therapy in acute stroke patients, increasing smoothness of movement and motor function.

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“…N vp , which represents the number of corrective attempts made mid-movement, is also a surrogate marker that has been used in publications. (4,5) The use of virtual reality-based therapy to augment poststroke upper limb recovery ABSTRACT Stroke remains one of the major causes of disability worldwide. This case report illustrates the complementary use of biomechanical and kinematic in-game markers, in addition to standard clinical outcomes, to comprehensively assess and track a patient's disabilities.…”

Section: Case Reportmentioning

confidence: 99%

The use of virtual reality-based therapy to augment poststroke upper limb recovery

Samuel¹,

Choo²,

Chan³

et al. 2015

smedj

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Using Kinematic Analysis to Evaluate Constraint-Induced Movement Therapy in Chronic Stroke Patients

Cited by 153 publications

References 39 publications

Responsiveness and Validity of Three Outcome Measures of Motor Function After Stroke Rehabilitation

Responsiveness and Validity of Three Outcome Measures of Motor Function After Stroke Rehabilitation

Arm weight support training improves functional motor outcome and movement smoothness after stroke

The use of virtual reality-based therapy to augment poststroke upper limb recovery

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